Amechi Valentine Odife Jr., MD

Key facts

NPI

1679787154

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Physician 208D00000X

License

254821 (NY)

Practice address

130 Center Way
Corning, NY 14830-2255

Phone

(607) 936-9971

Fax

(607) 936-2600

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iroquois Nursing Home Inc Skilled Nursing Facility · Jamesville, NY · NPI 1013926526
  Medicare reassignment Care Compare group NPD NY
• Brookview Medical Associates, PLLC General Practice Physician · Bohemia, NY · NPI 1871965855
  Medicare reassignment NPD GENERAL PRACTICE · NY
• Guthrie Medical Group, P.C. Multi-Specialty Clinic/Center · Corning, NY · NPI 1134178635
  Medicare reassignment NPD NY
• Signify Health Medical Associates, PLLC General Practice Physician · Dallas, TX · NPI 1750845863
  Medicare reassignment NPD GENERAL PRACTICE · MA
• Guthrie Medical Group, P.C. General Practice Physician · Sayre, PA · NPI 1245246644
  NPD GENERAL PRACTICE

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Iroquois Nursing Home Inc Skilled Nursing Facility · Jamesville, NY · NPI 1013926526
  Care Compare affiliation Nursing home
• Suny Health Science Center at Syracuse General Acute Care Hospital · Syracuse, NY · NPI 1578554630
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Pediatric Medicine

Education

University of Tennessee, HSC, College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iroquois Nursing Home, Inc (2 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospital S U N Y Health Science Center Hospital · Syracuse, NY · CCN 330241
• Iroquois Nursing Home Inc Nursing home · Jamesville, NY · CCN 335764

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NY, MA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 12, 2020.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1679787154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858",
            "fax_number": "570-888-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTER WAY",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302255",
            "telephone_number": "607-936-9971",
            "fax_number": "607-936-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIFE",
        "first_name": "AMECHI",
        "middle_name": "VALENTINE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "254821",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "254821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

• Chevonne Marie Nickerson, FNP
• Roderick N Noel, LCSW-R
• Richard Andrew O'Leary, ED. D.
• Bailey E O'Rourke
• Joseph J Oconnell, R.PH.
• John Olmstead, M.D.
• Tiana Oropallo, CASAC
• Edmund W Osgood Jr., LCSWR
• Alisha Renee Ost, LMHC
• Nancy Jean Overstrom, RPH

All providers in Corning, NY · General Practice Physician in New York